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https://abs.twimg.com/emoji/v2/... draggable="false" alt="❓" title="Rotes Fragezeichen-Symbol" aria-label="Emoji: Rotes Fragezeichen-Symbol">How best to promote physical activity/exercise in clinical populations?
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❔" title="Weißes Fragezeichen Symbol" aria-label="Emoji: Weißes Fragezeichen Symbol">What messages should we give to patients?
https://abs.twimg.com/emoji/v2/... draggable="false" alt="❓" title="Rotes Fragezeichen-Symbol" aria-label="Emoji: Rotes Fragezeichen-Symbol">What tips can the everyday clinician use?
1. There is no "minimum" amount of activity that is beneficial for health:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Determine baseline.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Aim to gradually increase this baseline level.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Set realistic goals for the individual.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Identify barriers, facilitators and help them on their journey. https://www.sciencedirect.com/science/article/pii/B9780128112793000136">https://www.sciencedirect.com/science/a...
2. Low intensity activity is health-enhancing:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Higher levels of activity of any activity is associated with https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> all-cause mortality.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Reassure people that ALL activity is beneficial regardless of intensity.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">As fitness/improves, MVPA can be emphasised.
https://www.bmj.com/content/366/bmj.l4570.full">https://www.bmj.com/content/3...
https://www.bmj.com/content/366/bmj.l4570.full">https://www.bmj.com/content/3...
Higher levels of activity of any activity is associated with https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> all-cause mortality.https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Reassure people that ALL activity is beneficial regardless of intensity. https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">As fitness/improves, MVPA can be emphasised. https://www.bmj.com/content/3..." title="2. Low intensity activity is health-enhancing:https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Higher levels of activity of any activity is associated with https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> all-cause mortality.https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Reassure people that ALL activity is beneficial regardless of intensity. https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">As fitness/improves, MVPA can be emphasised. https://www.bmj.com/content/3..." class="img-responsive" style="max-width:100%;"/>
3. Replacing time spent sitting with ANY activity regardless of intensity is beneficial:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Examine strategies to reduce sitting time.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Reduce the duration of each bout of sitting.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Break sitting with standing breaks or light intensity activity. https://onlinelibrary.wiley.com/doi/full/10.1002/acr.23717">https://onlinelibrary.wiley.com/doi/full/...
4. Benefits not limited to "exercise":
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">The language we use can impact on behaviours.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Physical activity can be accumulated in many ways (structured and non-structured).
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Consider a cumulative measure of activity (e.g. steps per day). https://arthritis-research.biomedcentral.com/articles/10.1186/ar2967">https://arthritis-research.biomedcentral.com/articles/...
5. >5000 steps/day = improved outcomes for ppl with widespread pain:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">Benefits of activity happen well below the commonly reported 10k steps/day.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✅" title="Fettes weißes Häkchen" aria-label="Emoji: Fettes weißes Häkchen">The focus should be more on consistency and making gradual increments rather than adhering to "guidelines". https://onlinelibrary.wiley.com/doi/full/10.1002/acr.22398">https://onlinelibrary.wiley.com/doi/full/...
